• Title/Summary/Keyword: 연조직 측모변화

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A longitudintal study of soft-tissue profile changes In korean adults aged from 24 to 32 years (성인의 연조직 측모 변화)

  • Hwang, Sang-Hee;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.30 no.1 s.78
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    • pp.101-114
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    • 2000
  • The purpose of this study was to evaluate the soft-tissue profile changes from 24 to 32 yews of age in Korean adults. The subjects used in this study consisted of 17 males and 8 females. The data obtained from the lateral cephalograms taken at age 24 and 32, were analyzed statistically. The obtained results were as follows : 1. During the observation period, there were no significant changes in the hard-tissue measurements in both sexes (p>0.05). 2. In the anteroposterior measurements of soft-tissue, the males had significant increase in chin area (Pog', Gn'), and the females had significant decrease in lower lip (LI) (p<0.05). 3. In the vertical measurements of soft-tissue, both sexes showed the increased tendency in upper lip length (Sn-Sto) where the males showed significant increase (p<0.05). The lower facial height (Sn-Gn') turned out significant increase in both sexes (p<0.05). 4. In general, the females and males had the increased tendency in soft-tissue thickness, especially significant increase in chin area (Pog', Gn') (p<0.05).

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REAPPRAISAL OF SOFT TISSUE PREDICTION IN ORTHOGNATHIC SURGERY FOR MANDIBULAR PROGNATHISM (외과적 악교절수술에 있어서 측모연조직예측의 재평가에 대한 연구)

  • Chung, Moo-Hyeok;Nam, Il-Woo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.37-43
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    • 1991
  • Cephalometric prediction tracing is the preoperative double checking procedure which can predict bony and soft tissue change. Soft tissue profile prediction is routinely performed according to the known ratios of the soft to hard tissue movement which can vary considerably in each individual. Besides interindividual variation of the ratios of the soft to hard tissue change, actual results of the postoperative soft tissue profile can reflect other important modifying factors if it is compared with prediction tracing used. The purpose of this study is to compare soft tissue prediction tracing used with postoperative tracing and to find intervening modifying factor via serial tracing. Review of 30 prediction tracing showed that the most important factor contributing to prodiction tracing inaccuracy was the skeletal and dental relapse. And, some factors which may be responsible for prediction tracing inaccuracy were discussed.

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A Study of Esthetic Facial Profile Preference In Korean (한국인의 연조직측모 선호경향에 대한 연구)

  • Choi, Jun-Gyu;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.32 no.5 s.94
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    • pp.327-342
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    • 2002
  • Soft tissue profile is a critical area of interest in the development of an orthodontic treatment and diagnosis. The purpose of this study was to determine the facial profile preference of diversified group and to investigate the relationship between most Preferred facial Profile and existing soft tissue reference lines. A survey instrument of constructed facial silhouettes was evaluated by 894 lay person. The silhouettes had varied nose, lips, chin and soft tissue subnasale point. Seven sets of facial type were computer-generated by an orthodontist to represent distinct facial types. The varied facial profiles were graded on the basis of most preferred to least preferred. Every facial profile were measured by soft tissue reference lines(Ricketts E-line, Burstone B-line) to observe the most preferred facial profile. The results as follows: 1. In reliability test, the childhood group showed lower value than other groups, which means that this group has no concern on facial profile preference. 2. It appears that sexual and age difference made no significant difference in selecting the profile 3. An agreement to least preferred facial profile was higher than an agreement to most preferred facial profile. 4. Coefficient of concordance (Kendall W) was higher in the twentieth group. It means that a profile preference of the twentieth is distinct. 5. A lip protrusion (to Ricketts E-line and Burstone B-line) of most preferred facial profile was similar to measurements of previous study that investigate skeletal and soft tissue of esthetic facial profile of young Korean. So these reference lines can be used valuably in clinics. 6. Profile of excessive lip protrusion or retrusion to E-line & B-line was least preferred. 7. Most preferred profile of all respondents group was straight profile. Profile that showing convex profile was not pre(erred and the least preferred profile was concave profile.

Prediction of the change of soft tissue profile on the lower face following retraction of incisors (전치부 후방이동에 따른 하안면부 연조직 측모 변화의 예측)

  • Lee, Jang-SeoP;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.29 no.4 s.75
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    • pp.399-409
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    • 1999
  • The purpose of this study was to evaluate the change of soft tissue profile on lower face following retraction of incisors through orthodontic treatment. 31 Korean women with bialveolar protrusion who were treated with 4 first bicuspid extraction were selected. All of samples were treated from above 17 years of age. Lateral cephalometric head films taken before and after treatment were analyzed statistically. The results were obtained as follows. $\cdot$The ratio of upper incisor retraction to upper lip retraction and lower incisor retraction to lower lip retraction were 1.54:1 (r=0.746) and 0.92:1 (r=0.584) respectively $\cdot$It appeared during orthodontic treatment that UIS-LS was increased considerably and the others in soft tissue thickness measurements were slightly decresed. $\cdot$Analysis of correlation showed that the change of the upper lip (LS) with the change of maxillary central incisor (UIS) and the change of lower lip with the change of B point were most strongly correlated. $\cdot$The multiple regression equations were obtained to predict soft tissue profile change of lower face according to retraction of incisors.

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Hard and soft tissue profile changes following anterior subapical osteotomy in bimaxillary dentoalveolar protrusion patients (양악성 치조 전돌 환자의 근첨하 분절 골절단술 후 경조직 및 연조직 측모 변화)

  • Han, Un-Ae;Kim, Jeong-Hwan;Yoon, Tae-Ho;Park, Je-Uk;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.33 no.6 s.101
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    • pp.475-483
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    • 2003
  • The purpose of this study is to evaluate hard and soft tissue changes following the subapical osteotomy in bimaxillary dentoalveolar protrusion patients requiring maximal retraction adult female patients was selected. Surgical procedures were performed by the same surgeon, anterior subapical osteotomy techniques were employed on the maxilla and cephalometric radiograms were traced and superimposed using the best-fit method and two reference The results were as follows 1. The bodily movement of the maxillary anterior segment was achieved in a posterior moved posteriorly with a slight correction of the lower incisors. 2. The horizontal soft tissue measurements changed significantly after treatment, but Nt and Sn vertical soft tissue measurements indicated that Ls moved inferiorly and Li superiorly. 3. The correlation between hard and soft tissue changes indicated that ${\Delta}HId/{\Delta}HLi,\;{\Delta}HId/{\Delta}LL-Eline,\;{\Delta}Hpt.B/{\Delta}HILS,\;and\;{\Delta}UI-FH/{\Delta}NL$ were significant. 4. More lower lip relative to upper lip retraction was demonstrated in relation to Rickett's E-line. The ratio between upper lip displacement was $50\%$, and between the lower incisor and lower lip displacement was $60\%$. We conclude from the results that the anterior subapical osteotomy is an efficient treatment severe dentoalveolar protrusion and desire rapid results.

SOFT TISSUE PROFILE CHANGE PREDICTION IN MAXILLARY INCISOR RETRACTION BASED ON CEPHALOMETRICS (두부방사선 분석에 의한 상악전치부 후방이동시 연조직 변화 예측에 대한 연구)

  • Choi, Jin-Hee;Lee, Jin-Woo;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.27 no.1
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    • pp.65-78
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    • 1997
  • This study was carried out in order to determine soft tissue response to incisor movement and mandibular repositioning and to determine feasibility of predicting vertical and horizontal changes in soft tissue with hard tissue movement. For this study, cephalometric records of 41 orthodontically treated adult females who had Angle's Class II division 1 malocclusion were selected and stepwise multiple regression analysis was employed. Following conclusions were obtained by analysing the changes of soft tissue and hard tissue before and after treatment. 1. Hard tissue measurements that showed significant changes before and after treatment were horizontal and angular changes of maxillary incisor, horizontal,vertical and angular changes of mandibular incisor, overjet, overbite, interincisal angle, mandibular repositioning, A,B, skeletal convexity and soft tissue measurements that showed significant changes were horizontal, thickness and angular changes of upper lip, horizontal and angular changes of lower lip, interlabial angle, nasolabial angle labiomental angle, Sri, Ss, Si and soft tissue convexity(P<0.05). 2. All Soft tissue measurements changed significantly before and after treatment had between one and four hard tissue independent variables at statistically significant level, indicating that all soft tissue changes were direct relationship with hard tissue changes 3. Ova jet, horizontal change of maxillary incisor, horizontal change of maxillary root apex and horizontal change of pogonion entered into prediction equations most frequentely indicating that they were more significant variables in prediction of vertical and horizontal changes in the soft tissue with treatment, but vertical changes of mandibular incisor not entered any prediction equations, indicating that it was not considered a good predictor for soft tissue changes with maxillary incisor retraction. 4. Horizontal and vertical changes in subnasale were found to have most independent variables, significant at the 0.05 level in prediction-equations(${\Delta}$Sn(H):Ur, Is(H), Pg(H), UIA,${\Delta}$Sn(V): Is(H), Pg(H), overjet, A), indicating that subnasale changes are influenced by complex hard tissue interaction. 5. Multiple correlation coefficient($R^2$) of the soft tissue prediction equations ranges from 0.2-0.6.

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Comparison of computer-based treatment prediction with true results in bimaxillary protrusion cases (치조성 양악 전돌 환자에서 컴퓨터를 이용한 치료 결과 예측의 정확성)

  • Lee, Rhi-na;Lim, Yong-Kyu;Lee, Dong-Yul
    • The korean journal of orthodontics
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    • v.32 no.3 s.92
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    • pp.155-163
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    • 2002
  • This study was performed to assess the accuracy of computer-based treatment prediction for soft tissue profile using Quick Ceph Image $Pro^{TM}\;&\;Quick\;Ceph\;2000^{TM}$ in bimaxillary protrusion cases. The Ore- and post-treatment lateral cephalograms of 21 female adults treated by low first premolar extraction were imaged and 9 landmarks and 27 specific soft tissue mesurements were digitized for comparing actual treatment results with computer simulations. The results of this study showed that Quick Ceph Image $Pro^{TM}\;&\;Quick\;Ceph\;2000^{TM}$ tends to overestimeate horizontal changes and underestimate vertical changes. In the computer simulation, upper lip showed rolling tendency. The upper lip measurements were disposed to be regular direction hut lower lip measurements were varied case by case even if it was statistically insignificant.

A study on the accuracy of profile change Prediction by video imaging (Power Ceph $^{\circledR}Ver$ 3.3) in Class III two jaw surgery patients (골격성 III급 부정교합을 가진 양악 수술 환자의 술후 측모 예측을 위한 Video imaging (Power $Ceph^{\circledR}$ Ver 3.3)의 정확도에 관한 연구)

  • Kwon, Mi-Jeong;Baik, Hyoung-Seon;Lee, Won You
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.285-301
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    • 1999
  • There is a need for more accurate prediction in surgical orthodontic treatment. Video imaging is an important technology in planning orthognathic surgery and educating patients about the esthetic results after treatment. Preoperative and postoperative lateral cephalogram of 30 patients who had one piece Le Fort I osteotomy advancement and mandibular set back by bilateral intraoral vertical ramal osteotomy with or without genioplasty were used in this study. The computer generated soft tissue line drawing prediction were compared with the actual postoperative cephalograms .The results are as follows. 1. 14 variables showed Statistically significant differences from 24 variables between computer predicted profile and post operative profile 2. Most of the differences were found in the maxilla-related soft tissue landmarks. 3. The predicted results were more accurate in the groups who had small amount of mandibular set back. 4. The predicted results were more accurate in the groups who had no genioplasty. Most of these differences were within 2mm ranges. Therefore profile change prediction by video imaging could be considered clinically acceptable.

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A Longitudinal study on Growth Changes of Soft Tissue Profiles in Koreans with Normal Occlusion (정상 교합자의 연조직 측모의 성장 변화에 관한 누년적 연구)

  • Lee, Myeong-Jin;Lee, Hee-Kyung
    • The korean journal of orthodontics
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    • v.27 no.2
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    • pp.181-196
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    • 1997
  • The purpose of this study was to describe growth changes of soft tissue profile in koreans with normal occlusion and to get differences between male and female. The biennial serial cephalometric radiographs of 26 samples (15 males, 11 females) with normal occlusion from 8.5 years to 18.5 years of age were used in this study. The following results were obtained : 1. Both sexes had lower facial parts more protruded at 18.5 years of age than 8.5 years of age : in total facial convexity angle, male showed a decrease(P<0.01) and female showed no significant difference(P>0.05). 2. In the growth changes of soft tissue thickness, male outgrew female in the areas of nose and upper and lower lips, and female outgrew male in the pogonion area 3. In the growth changes of upper facial height and upper part of lower facial height, male's was higher than female's growth (P<0.05). 4. The ratio of the upper facial height over the lower facial height showed a decrease at 18.5 years of age than 8.5 years of age(P<0.01). The ratio of upper vs lower part of lower facial height and that of upper lip height vs lower lip height showed no significant difference(P>0.05). 5. Male showed a sustained change into older age compared with female in soft tissue profiles.

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Subjective Evaluation about Ideal Position of the Subnasale on Lateral Photos (측모 사진상에서 Subnasale의 이상적인 위치에 관한 주관적 평가)

  • Kim, Yi-Dong;Chung, Dong-Hwa;Cha, Kyung-Suk;Lee, Jin-Woo;Lee, Sang-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.347-358
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    • 2013
  • When analyzing soft tissue of the profile, Subnasale is often used as an important reference point. But there are few studies on the ideal position of the Subnasale. Therefore, the purpose of this study is to present an objective reference of the esthetic face relating to the change of Subnasale position in Koreans' profile, and also to determine whether there is concordance between professionals and laypersons in their perception of facial attractiveness. The one determined as appropriate profile portion by experts of pictures taken in women in 20s was selected. The photograph was modified changing the Subnasale anteroposteriorly on the plane perpendicular to the true vertical line, while maintaining the nasolabial angle. The photographs were presented to a group of professionals (9 orthodontists) and 126 laypersons, who were asked to assess the facial attractiveness of the photographs on a VAS independently. The conclusion was obtained. 1. The ideal position of the Subnasale is when the ratio of the distance Lateral canthus~Subnasale : Subnasale~Pronasale is 1.769 : 1. 2. The ideal degrees between the true vertical line passing through Nasion and Subnasale is $5.5^{\circ}$ 3. The professionals recognized every change in the ratio, but the laypersons couldn't differentiate between the change from 1.571 : 1 to 1.769 : 1.